Nausea during erection

Patient : 43, had vasectomy in April 11, For the past 6 months every time I get an erection I get nausea. Not enough to vomit but nausea still the same. Feels like I have been hit in the genitals but it is consistent. As soon as the erection goes away the nausea goes away. Have been on androgel for 16 days due to low testosterone shown in bloodwork and have also been taking prilosec for approximately 18 months for heartburn. Urologist cannot figure out reason for nausea.
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